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Department of Labor: 05-00-005-10-001

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    i

    Table of Contents

    Page

    Acronyms/Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

    Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii

    Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    O b j e c t i v e s / S c o p e / M e t h o d o l o g y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

    Chapter 1 - How OSHA Obtains Information and Guidance as Well as Clearance

    from the DOL with Regard to the Issuance and Release of

    Policy-making Decisions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

    Chapter 2 - The Sequence of Events That Led to the Drafting and Issuance of the

    Home Workplace Letter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    Chapter 3 - Why the Home Workplace Letter Was Issued Without the Approval of

    the DOL Office of the Secretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

    Chapter 4 - Findings and Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

    Criteria References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

    Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

    Exhibit 1 - August 1997 Letter Requesting OSHA Policy Guidance

    Exhibit 2 - November 1999 Letter of Interpretation

    Exhibit 3 - Withdrawn Letter of Interpretation

    Exhibit 4 - OSHA Directive CPL 2-0.125 - Home-Based Worksites

    Appendix

    Complete Agency Response

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    ii

    Acronyms/Abbreviations

    LI Letter of Interpretation

    DIR Directive

    DCP Directorate of Compliance Programs

    OASAM Office of the Assistant Secretary for Administration and Management

    OSH Act Occupational Safety and Health Act of 1970

    OSHA Occupational Safety and Health Administration

    SOL Office of the Solicitor

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    iii

    Executive Summary

    Background

    On November 15, 1999, the Occupational Safety and Health Administration (OSHA) issueda Letter of Interpretation (LI) to respond to an employers inquiry of August 21, 1997. The

    employer had asked for guidance on applying OSHA standards to employees working at

    home.

    This LI, posted on OSHAs website, drew reaction from the public and the Congress

    because it was perceived to sanction Government intrusion into private homes. As a result

    of these concerns, the interpretation was withdrawn. On February 2, 2000, the Office of

    Inspector General was requested by the Committee on Small Business and the

    Permanent Subcommittee on Investigations to provide analysis and evaluation of the

    circumstances that led to the issuance of the Home Workplace Letter.

    Findings

    Utilizing its delegated authority, OSHA obtains information and guidance from its staff of

    specialists and follows two methods when responding to requests from employers and other

    outside interests. A Directive is required when issuing new policy. A Letter of

    Interpretation (LI) may be used when clarifying existing policy from a regulation, standard

    or directive. The Home Workplace Letter was not designed to set new policy, therefore,

    OSHA deemed the LI as the appropriate method of communicating its response.

    The Office of the Secretary of Labor did not provide clearance or prior approval of the LI,

    because OSHAs procedures do not require the Agency to notify, clear or obtain prior

    approval from the Office of the Secretary of Labor before issuing LIs.

    Since issuing the Home Workplace Letter, OSHA has recognized the need to develop

    processes to ensure appropriate executive level awareness of potentially sensitive issuances.

    At the time of our field work, OSHA was in the process of revising its internal policies and

    procedures to strengthen processing requirements for those LIs which provide interpretations

    of the OSH Act or significantly expand on existing policies.

    Our audit of OSHAs process for issuing LIs disclosed stronger processing controls are

    necessary to ensure such letters would not infer or communicate new policy to recipients orto the public. Therefore, we recommend controls for inclusion in OSHAs current effort to

    revise its procedures.

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    G4

    Recommendations

    We recommend that our findings regarding needed processing controls for LIs be

    incorporated in OSHAs current effort to revise policies, procedures and practices to ensure

    proper elevation of policy issues to the DOL executive level for consideration. Specifically,we recommend that OSHA:

    Develop written procedures that specifically govern preparation and processing

    of LIs.

    Clarify language in OSHA Directives that cloud the policy role of LIs.

    Establish common rules to guide all staff on how to recognize and process

    responses on interpretations of the OSH Act, standards and significant

    expansions of existing policies.

    In consultation with the Office of the Solicitor, eliminate inordinate clearance

    delays, and ensure all documents and comments germane to the LI response be

    shared among all those responsible for clearing the document.

    Ensure that key staff in the clearance process is sensitive to the policy

    implications of interpretations made in LIs and that executive-level management

    is consulted as appropriate.

    Agency Response and Audit Conclusions

    In responding to our draft report, OSHA agreed in principle with our findings. Furthermore,the Agency stated that in conjunction with its ongoing efforts and in compliance with our

    audit recommendations, it intends to improve internal procedures with respect to policy

    pronouncements and interpretations as a result of the experience with the Home Workplace

    Letter. (See complete Agency response in Appendix.)

    OSHAs response adequately addresses and resolves our audit recommendations. To

    properly close these recommendations, we will monitor and review the Agencys planned

    and implemented corrective actions to revise its procedures for developing and issuing

    interpretations and policy.

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    1

    Background

    Letter of Interpretation

    On November 15, 1999, the Occupational Safety and Health Administration (OSHA) issueda Letter of Interpretation (LI) to respond to an employers inquiry dated August 21, 1997.

    The inquiry posed a number of different circumstances related to employees working at

    home and asked for guidance from OSHA concerning employers responsibilities for

    workplace safety and health for those employees who are working in home office

    environments.

    This LI the Home Workplace Letter was posted on OSHAs website. The letter came

    to broad public attention in January 2000, when news media disclosed it. In response to

    public concerns and congressional reaction, OSHA withdrew the LI because, in the words of

    the Secretary of Labor, it caused widespread confusion and unintended consequences. On

    February 25, 2000, OSHA issued a Directive to provide guidance to OSHAs compliancepersonnel about inspection policies and procedures concerning worksites in an employees

    home.

    Congressional Request

    On February 2, 2000, the Office of Inspector General was requested by the Committee on

    Small Business and the Permanent Subcommittee on Investigations to provide analysis and

    evaluation of the circumstances that led to the issuance of the Home Workplace Letter. The

    request summarized the Chairmens concern about the impact the Home Workplace Letter

    would have on small businesses, if ever implemented. They stated that their concern was

    heightened by the apparent lack of communication among the various agencies within the

    Department of Labor, as indicated in the Secretarys withdrawal of OSHAs letter.

    The congressional request asked the OIG to examine three issues, which became the audit

    objectives for this project.

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    2

    Objectives/Scope/Methodology

    Objectives

    The objectives of the audit were to examine the following issues:

    - how OSHA obtains information and guidance as well as clearance from the

    DOL with regard to the issuance and release of policy-making decisions;

    - the sequence of events that led to the drafting and issuance of the Home

    Workplace Letter; and

    - why the Home Workplace Letter was issued without the approval of the DOL

    Office of the Secretary.

    We address each of these issues in Chapters 1 through 3.

    Scope

    Our audit scope included a review of OSHA and DOL activities associated with the issuance

    of the Home Workplace Letter. These activities occurred while the letter was being drafted,

    August 27, 1997, through November 15, 1999. Our audit also included subsequent events

    and activities through March 2000.

    The audit was performed in accordance with Government Auditing Standards, issued by the

    Comptroller General of the United States.

    Methodology

    To accomplish our objectives, we interviewed DOL officials in OSHA and the Office of the

    Solicitor. We also reviewed operating procedures, instructions and documents provided by

    the interviewees. We examined the OSHA Instructions which cover the issuance of

    Directives and Letters of Interpretation. We also obtained and reviewed recent testimony of

    OSHA officials before various congressional committees.

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    1Secretarys Order 06-96, subparagraph 4.a.(1) - See Criteria References, page 15.

    2OSHA Instruction, Directive No. ADM 8-0.1C, entitled OSHA Electronic Directives

    System, Chapter 1, Paragraph X - See Criteria References, page 16.

    3

    Chapter 1

    How OSHA Obtains Information and Guidance as Well as Clearance from the DOL

    with Regard to the Issuance and Release of Policy-Making Decisions

    Utilizing its delegated authority,1 OSHA obtains information and guidance from its staff of

    specialists and follows two methods when responding to requests from employers and other

    outside interests. A Directive is required when issuing new policy. A Letter of

    Interpretation (LI) may be used when clarifying existing policy from a regulation, standard

    or directive. The Home Workplace Letter was not designed to set new policy, therefore,

    OSHA deemed the Letter of Interpretation as the appropriate method of communicating its

    response.

    OSHA maintains historical documents on various subject matters and relies on these, as well

    as the institutional knowledge of OSHA personnel, when responding to questions regarding

    jurisdiction and applicability of standards. OSHA personnel are also expected to discernresponses that need only to clarify existing policies from those which constitute a new policy

    statement or a significant expansion of existing policy.

    The distinction is critical because OSHA requires that new policies cannot be established by

    informal means such as responses providing requested clarifications. New policies are

    established by issuing Directives. To issue a Directive, OSHA follows a prescribed

    methodology to ensure the accuracy and legal sufficiency, as well as concurrence by the

    Assistant Secretary for Occupational Safety and Health or his designee.

    Directives

    OSHA policy or procedure must be issued through the directives system.2

    The OSHA Instruction provides guidelines for signing, initiating and clearing directives.

    The Assistant Secretary approves and signs all national directives except those dealing with

    administrative matters, which are signed by the Director of Administrative Programs.

    Program Directors are responsible for initiating proposed directives covering matters within

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    3OSHA Instruction, Chapter 1, Paragraph XV - See Criteria References, pages 16 - 17.

    4

    OSHA Instruction, Chapter 3 - See Criteria References, pages 18 - 24.

    5OSHA Instruction, Chapter 1, Paragraph XII - See Criteria References, page 16.

    6OSHA Instruction, Chapter 1, Paragraph XVII.A - See Criteria References, pages 17-18.

    7OSHA Instruction, Chapter 1, Paragraph XVII.B. - See Criteria References, page 18.

    4

    the scope of authority of his/her office.3 The requirements for the clearance of directives

    vary depending on the initiating office, type of directive and content.4

    Letters of Interpretation

    An LI may be used only to provide supplementary guidance that clarifies how an existingOSHA standard or directive applies to a specific workplace situation.5 Further, policies and

    procedures relating to OSHA and its programs may not be issued outside of the Code of

    Federal Regulations or OSHA Directives System.6

    We requested from OSHA specific procedures for processing LIs. We were referred to

    OSHA Instruction, Directive No. ADM 8-0.1C. These references defined the use of LIs, but

    provided limited instructions for processing LIs. However, offices issuing LIs are required

    to develop and implement procedures for ensuring they meet established office standards.7

    Based on our interviews, neither the Directorate of Compliance Programs (DCP), nor its

    suboffice, the Office of General Industry Compliance Assistance (GICA), had established

    specific written processing procedures for LIs.

    We observed that the process for issuing Letters of Interpretation generally follows the

    Directives methodology to ensure accuracy and legal sufficiency, but does not require the

    Assistant Secretary concurrence before being issued.

    The Home Workplace Letter

    On November 15, 1999, the Home Workplace Letter responded to an employers inquiry

    (see Exhibit 1) which asked for information on OSHAs policies concerning employees

    working at home. OSHA responded with an LI to address the employers general and

    specific questions.

    This employers inquiry was one of hundreds of inquiries received by the DCP each quarter.

    The letter was forwarded to the Directorates GICA for response. The missions of DCP and

    GICA require them to develop and execute a comprehensive occupational safety compliance

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    guidance and assistance program for general industries. As such, one of GICAs functions is

    to develop replies to technical inquiries.

    OSHAs historical practices have demonstrated its policy not to inspect homes. OSHA has

    not targeted home workplaces for inspection and only three instances of home inspections

    (all involving employees exposed to lead hazards) were noted since the creation of theAgency. Further, GICA files included three letters issued between 1993 and 1995 on the

    subject of OSHAs working at home policy.

    OSHA and SOL staff we interviewed stated they believed that the Home Workplace Letter

    was not setting new policy, but was a further clarification of existing policy. OSHA is

    prohibited from using an LI to establish new policy.

    In Chapter 2, we will discuss more events associated with the Home Workplace Letter, and

    in Chapter 4 we will present some of its shortcomings.

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    Chapter 2

    The Sequence of Events That Led to the Drafting and Issuance of the

    Home Workplace Letter

    As discussed in Chapter 1, the response to the employers inquiry was communicated

    through an LI. We also noted there were no written procedures that specifically govern

    preparation and processing of LIs.

    Nevertheless, our interviews with OSHA staff and the review of related documents reveal

    that many individuals provided input into the letter and participated in the clearance process

    before it was issued. Despite this effort, not all documents and comments were shared at the

    appropriate levels with others responsible for clearing and issuing the Home Workplace

    Letter.

    The employers inquiry, dated August 21, 1997, was received by OSHA August 27, 1997.The letter was preceded by a telephone conversation between the employer and a staff

    person in the Office of General Industry Compliance Assistance (GICA). In that

    conversation, the employer posed a number of questions bearing on employers safety and

    health obligations to workers who are performing work in their homes. Due to the volume

    and complexity of the questions the employer asked, he was invited to pose the questions in

    writing.

    The employers inquiry was received in the Directorate of Compliance Programs (DCP) and

    forwarded to its suboffice, GICA, for response. There, the letter was assigned to staff who

    determined that the response should be communicated as a Letter of Interpretation (as

    discussed in Chapter 1). The letter was prepared in a format which repeated the question

    posed and then provided the answer. The draft was first circulated within OSHA to obtain

    input to address technical questions and for concurrence on the accuracy of the other

    responses.

    Shortly after circulating the first draft, the staff person coordinating the clearance of the

    letter was temporarily reassigned to other duties for 5 months. When the staff person

    returned, the responses to the first draft were collected and used to prepare another draft.

    This version was forwarded to various OSHA divisions in late March 1998. It was

    forwarded to the Directorate for Policy on April 28, 1998, and reviewed in a single day.

    The Office of the Solicitor (SOL) was provided the draft on May 1, 1998, to obtain

    clearance for legal sufficiency. The letter was in SOL for 7 months. SOL told us they

    placed a low priority on the letter and were working on other more important issues. Shortly

    after the SOL clearance was received, the GICA staff member processing the letter went on

    a 2-month leave of absence.

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    Another draft was prepared in March 1999 and circulated again because some of the

    individuals in positions who had cleared the letter earlier had changed. The clearances at

    this time were recorded on a sign-off grid that was attached to the file copy of the issued

    version of the letter. This grid evidenced that the letter was provided to staff in the

    following locations between March and November 1999:

    In OSHA:

    - Office of General Industry Compliance Assistance

    - Office of Health Compliance Assistance

    - Office of Statistics

    - Directorate of Federal-State Operations

    Office of the Solicitor

    The SOL clearance of this version took 6 months. Various changes were made to the letter

    after March 1999. Because of the wide expanse in the clearance dates, there is no evidence

    that those identified on the grid cleared the final version of the letter. The letter was finallyissued on November 15, 1999.

    During our audit, we learned from interviews and various documents that four individuals

    who were asked to provide input or clearance on the letter, submitted comments or

    expressed concern with the contents or presentation of the letter. These comments were not

    shared with others responsible for clearing the LI. In addition, the SOL had two previous

    internal memoranda on the subject, one of which was familiar to the head of DCP, but

    neither was available to other OSHA staff, although this staff was responsible for

    developing and processing the letter.

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    8OSHA Instruction, Chapter 1, Paragraph XVII.B - See Criteria References, page 18.

    8

    Chapter 3

    Why the Home Workplace Letter Was Issued Without the Approval of the DOL

    Office of the Secretary

    OSHA LIs do not require the approval of the Office of the Secretary. Agency Instructions8

    state that LIs do not require elevation above the Directorate level.

    During Calendar Year 1999, OSHA posted 161 LIs on its Internet Website, excluding the

    withdrawn Home Workplace Letter. None were signed by the Secretary of Labor. Most

    often (141 of the 161 cases), LIs were signed at the Directorate level. The remaining 20 LIs

    were elevated to the Assistant Secretary for Occupational Safety and Health. Most of these

    elevated LIs were in response to safety and health questions with congressional sponsorship

    and the remaining touched upon policy/sensitive/political issues. In none of these instances

    was a need found to refer a letter for the Secretary of Labors signature.

    Some LIs were raised to the executive level to ensure compliance with OSHA policies and

    executive sensitivities. Therefore, there was a system in place that identified appropriate

    letters for executive consideration. Nevertheless, none of the letters elevated to the

    Assistant Secretary for OSH was further elevated to the Secretary for signature.

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    Chapter 4

    Findings and Recommendations

    OSHAs Controls over Issuing Letters of Interpretation Need Strengthening

    Our audit of OSHAs process for issuing LIs disclosed a number of instances where stronger

    controls are necessary to ensure such letters would not infer or communicate new policy to

    recipients or to the public. Among the control weaknesses we noted:

    There were no written procedures that specifically govern preparation and

    processing of LIs.

    Conflicting language in OSHA Directives clouds the policy role of LIs.

    There were no common rules to guide all staff to consistently recognizeresponses that provide interpretations of the Occupational Safety and Health Act

    (OSH Act), as distinct from interpretations on applying standards to specific

    work environments, as further distinct from interpretations representing a

    significant expansion of existing policies. As a result, OSHA staff applied the

    eye of the beholder rule, that is: Ill know it when I see it.

    Not all documents and comments were shared among all those responsible for

    clearing the document. As a result, observations, concerns and suggestions

    provided to (or not made available to) the individual principally responsible for

    processing the LI were not fully considered in the clearance process.

    No one involved in the clearance process for the Home Workplace Letter was

    specifically expected to evaluate the policy ramifications of the letter taken as a

    whole.

    1. There were no written procedures that specifically govern preparation and

    processing of LIs.

    OSHA issued the Home Workplace Letter in an attempt to comply with the requirements of

    the OSH Act that require the Agency to provide consultative services and advice toemployers. It is one of the express missions of the Directorate of Compliance Programs to

    provide consultation and advice. Each quarter, the Directorate receives hundreds of

    inquiries, ranging from telephone inquires to written requests for guidance, to clarify

    workplace safety and health requirements. The Home Workplace Letter was processed as

    one instance of these many requests.

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    We examined OSHAs written procedures and found that general guidance giving broad

    parameters for developing policy and processing LIs is contained in an Administrative

    Directive. However, the Directive places responsibility for establishing detailed procedures

    and control points with the office issuing the policy or LI, in this case, the Directorate of

    Compliance Programs (DCP). We found that neither the DCP nor its suboffice, the Office

    of General Industry Compliance Assistance, had established specific written processingprocedures.

    2. Conflicting language in OSHA Directives clouds the policy role of LIs.

    The conflicting language occurs in OSHA Instruction, Directive No. ADM 8-0.1C,

    Chapter 1, Paragraphs XI and XII. Paragraph XI provides that Supplementary issuances,

    which include LIs, may establish OSHA policy only in the context of an existing

    regulation, standard or directive. Paragraph XII, in defining an LI, provides that an LI may

    not establish policy not already addressed by a directive or standard. The conflict presented

    by the language in these two paragraphs could risk misuse of LIs to establish policy. Webelieve that both of these references need revision in order to provide consistent guidance to

    all staff.

    3. There were no rules to govern when LIs go beyond interpretation and become new

    or expanded policy.

    There were no common rules to guide OSHA staff included in the clearance process to

    consistently recognize responses that provide interpretations of the OSH Act, as distinct

    from interpretations on applying standards to specific work environments, as further distinct

    from interpretations representing a significant expansion of existing policies.

    During interviews, OSHA officials differed in how they characterized the contents of the

    Home Workplace Letter. While one official found that the letter was a significant expansion

    of current policy, another said that the letter provided an interpretation of the OSH Act; still

    another official said that the letter interpreted applicability of specific standards to the work

    environment of a private home.

    4. Not all documents and comments were shared among all those responsible for

    clearing the LI.

    Observations, concerns and suggestions provided to the individual principally responsible

    for processing LIs were not fully considered by all staff included in the clearance process.

    We found that comments provided to OSHA staff in response to the input/clearance process

    contained cautionary language but were not shared by all responsible staff, including SOL,

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    to consider when providing clearance. Likewise, not all SOL internal memoranda on the

    subject were available in OSHA files prior to the issuance of the Home Workplace Letter.

    We believe that full access by all concerned parties to comments, especially any cautionary

    language, would promote full consideration of the appropriateness of the action proposed.

    5. No one involved in the clearance process was specifically expected to evaluate the

    policy ramifications of the letter taken as a whole.

    We found that early in the clearance process OSHAs Directorate for Policy signed off on

    the Home Workplace Letter. It was received and returned in a single day and there were no

    comments or other evidence provided to reveal the scope of the review performed. While

    other OSHA participants in the drafting/clearance process were primarily concerned with the

    accuracy of statements made in the letter, it appears no one was sensitive to the overall

    policy implications as the letter was developed in its final stages. Moreover, comments that

    had been provided earlier in the process, that should have raised concerns with the way the

    letter was being developed, were not referred to the Directorate level for additional review.

    OSHA has recognized the need for stronger controls, and has begun reviewing and

    implementing some corrective measures. For instance, OSHA is currently rewriting policies

    to ensure that LIs constituting a significant expansion of current policy, or interpreting the

    OSH Act must be cleared through the Assistant Secretary; staff is being retrained to ensure

    an understanding of what is a significant expansion of policy, and to be aware of the

    Secretarys interests and concerns. Also, OSHA documents on the world-wide web are

    being reviewed to identify any that may need to be addressed in a directive, or otherwise

    changed or clarified. We believe additional steps can complement these ongoing efforts.

    Recommendations

    We recommend that our findings regarding needed processing controls for Letters of

    Interpretation be incorporated in OSHAs current effort to revise policies, procedures and

    practices to ensure proper elevation of policy issues to DOL executive level for

    consideration. Specifically, we recommend that OSHA:

    Develop written procedures that specifically govern preparation and processing

    of LIs in the Directorate of Compliance Programs. These procedures should

    include a clear definition of what is involved in the process of providing input

    into LIs and what is involved in the process of clearing an LI.

    Clarify language in OSHA Directives that cloud the policy role of LIs.

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    12

    Establish common rules to guide all staff to consistently recognize responses

    that provide interpretations of the OSH Act, as distinct from interpretations on

    applying standards to specific work environments, as further distinct from

    interpretations representing a significant expansion of existing policies.

    In consultation with the SOL, eliminate inordinate clearance delays and ensureall documents and comments germane to the LI response be shared among all

    those responsible for clearing the document. This will ensure full consideration

    of all cautionary remarks and observations in the clearance process.

    Ensure that key staff in the clearance process is sensitive to the policy

    implications of interpretations made in LIs, and that executive-level

    management is consulted as appropriate.

    Agency Response

    In responding to our draft report, OSHA agreed with our findings in principle, and stated itwill strive to incorporate them into revised agency procedures. Specifically, OSHA stated:

    1. There were no written procedures that specifically govern preparation and

    processing of LIs OSHAs Directives System requires that offices that issue policies and

    procedures must have written procedures governing the issuance of policy or letters of

    interpretation. Although an informal recognition of the process to be followed was

    understood in the originating office, no formal operating procedures were in place to ensure

    that this particular letter received proper review within the agency. In an effort to avoid

    similar misunderstandings in the future, OSHA is committed to developing and

    implementing written procedures for all of its offices in line with this recommendation.

    These procedures will include a clear definition of what is involved in the process ofproviding input and what is required in the clearance of directives and letters of

    interpretation.

    2. Conflicting language in OSHA Directives clouds the policy role of LIs Although it

    is clearly intended as agency policy that letters of interpretation cannot establish new

    policies, the agency acknowledges that the existing language governing directives is not

    precise enough to avoid possible confusion. In the upcoming revision on agency directives,

    this language will be modified to ensure a clear understanding that letters of interpretation

    will provide interpretations only in the context of an existing regulation, standard, or

    directive.

    3. There were no rules to govern when LIs go beyond interpretation and become new

    or expanded policy OSHA has already recognized the need for establishing common

    ground rules within the agency to differentiate between interpretations of the Act and

    interpretations of existing policies and procedures. Although the OIG report focuses

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    13

    specifically on the issuing of letters of interpretation, the recommendation is also appropriate

    and will be heeded for the establishment of agency policies and procedures through formal

    directives. A major concern of the agency in the aftermath of the Home Workplace letter, is

    how agency policy is established and communicated and what level and degree of clearance

    that requires. We fully intend to clarify this issue in the upcoming revision of the Directives

    System to ensure consistent application throughout the agency and to avoid improper orunintentional expansion of existing agency policy.

    4. Not all documents and comments were shared among all those responsible for

    clearing the LI The OIG report raises concerns that there was an incomplete sharing of

    information within OSHA and between the Office of the Solicitor (SOL) and OSHA. This

    failure is seen as undermining the ability of agency staff to properly assess and evaluate a

    letter of interpretation such as the Home Workplace letter. Specifically, the OIG report

    reflects a belief that cautionary comments raised by some staff during the development of

    the letter as well as the existence of an internal SOL legal opinion should have been widely

    shared with everyone in the clearance process. With the advantage of hindsight, OSHA

    acknowledges that the universal sharing of all information among those in the clearanceprocess may have avoided this controversy. On the other hand, the agency remains

    concerned that the clearance process not become unwieldy. OSHA agrees with the OIG

    report that improvements are necessary in the agencys clearance process. Better and more

    timely coordination among offices in OSHA and between OSHA and SOL is an essential

    component in a revised clearance process. When a substantive change is made in a letter of

    interpretation or policy pronouncement subsequent to a clearance sign-off, OSHA

    acknowledges that the document should be rerouted to that person to ensure agreement with

    the change. Clearly, OSHA understands that a number of changes such as these must be

    incorporated in its clearance processes. We look forward to working with the OIG in

    determining what practical steps can be instituted to improve the OSHA clearance process.

    5. No one involved in the clearance process was specifically expected to evaluate the

    policy ramifications of the letter taken as a whole While there may be an inherent

    expectation that senior level clearance involves consideration of policy ramifications,

    OSHAs written procedures do not impose such a requirement. The report reflects the fact

    that there are inconsistent approaches among individuals in the agency with respect to the

    clearance and review of documents. This becomes particularly critical when it involves the

    establishment or interpretation of policy. We accept this finding and the accompanying

    recommendation that OSHA ensure that key staff in the clearance process are sensitive to

    the policy implications of interpretations made in LIs. We also acknowledge the need for

    identifying appropriate instances when executive-level management is consulted before

    statements reflecting agency policy are issued. Appropriate changes in the agencys

    clearance process and Directives System will be formally implemented to address the

    concerns raised by the OIG report.

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    Audit Conclusions

    OSHAs response adequately addresses and resolves our audit recommendations. To

    properly close these recommendations, we will monitor and review the Agencys planned

    and implemented corrective actions to revise its procedures for developing and issuinginterpretations and policy.

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    Criteria References

    Occupational Safety and Health Act of 1970:

    Section 2(b) declares the purpose and policy of Congress:

    . . . to assure so far as possible every working man and womanin the Nation safeand healthful working conditions and to preserve our human resources. . . .

    Section 4 provides the applicability of the Act:

    (a) This Act shall apply with respect to employment performed in a workplace. . . .

    Section 5 defines the duties of employers and employees:

    (a) Each employer -

    (1) shall furnish to each of his employees employment and a place of

    employment which are free from recognized hazards that are causing or are

    likely to cause death or serious physical harm to his employees;

    (2) shall comply with occupational safety and health standards . . .

    (b) Each employee shall comply with occupational safety and health standards and

    all rules, regulations, and orders issued pursuant to this Act which are applicable to

    his own actions and conduct.

    Section 21 (c) addresses consultations and advice to employers:

    The Secretary . . . shall . . . (2) consult with and advise employers and employees,

    and organizations representing employers and employees as to effective means of

    preventing occupational injuries and illnesses.

    Secretarys Order 06-96, Delegation of Authority and Assignment of Responsibility to

    the Assistant Secretary for Occupational Safety and Health, dated December 27, 1996:

    Subparagraph 4.a.(1) describes the delegation of authority and assignment of responsibilityto the Assistant Secretary for Occupational Safety and Health:

    The Assistant Secretary for Occupational Safety and Health is delegated authority

    and assigned responsibility for administering the safety and health programs and

    activities of the Department of Labor.

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    Excerpts from OSHA Instruction, Directive No. ADM 8-0.1C, OSHA Electronic

    Directives System, dated December 19, 1997:

    Chapter 1, Paragraph X, Directives System Coverage, states:

    A. It is mandatory that OSHA communications be issued through the directivessystem whenever the communication:

    1. Establishes policy or procedure. . . .

    Chapter 1, Paragraph XI discusses Supplementary Issuances:

    Supplementary issuances, including Letters of Interpretation (LI), are interpretative

    or explanatory in nature. Although they are not part of the OSHA directives system

    proper, they are nonetheless subordinate to it. LI interpret or provide guidance on

    matters covered by directives or by OSHA regulations (CFR), including Standards.

    They must specifically refer to the source document they interpret. Other guidancethat is provided in letter form, such as advice on the applicability of the Act to a

    particular workplace or workplace situation, must make reference to a specific

    section of the Act itself that is not the subject of an existing regulation, including

    standards, or directive. Supplementary issuances may establish OSHA policy only in

    the context of an existing regulation, Standard or directive. These issuances may

    also serve to clarify or more clearly articulate Agency policy.

    Chapter 1, Paragraph XII defines a Letter of Interpretation:

    A Letter of Interpretation (LI) provides supplementary guidance that clarifies how to

    apply to a specific workplace situation the policy or procedure disseminated by anOSHA standard or directive. An LI may not establish policy not already addressed

    by a directive or standard.

    Chapter 1, Paragraph XV addresses Responsibilities for issuing Directives:

    A. Assistant Secretary.

    1. Provides general oversight of program.

    2. Approves and signs all national directives except those dealing with

    administrative matters.

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    B. Director, Administrative Programs.

    1. Oversees administration of the program.

    2. Signs all national directives dealing with administrative matters.

    C. Directives Officer, OMSO.

    1. Administers the OSHA directives program.

    2. Assures compliance with this and related instructions.

    3. Provides advice, assistance and training to Directives Liaison Officers in

    directives management, including the special requirements of this revised

    system.

    4. Periodically, notifies the Directives Web Supervisor when in-force directiveshave been reviewed for currency and approved as still fully in effect.

    D. Program Directors.

    1. Responsible for implementation of OSHA national directives within her/his

    organization.

    2. Initiates proposed directives covering matters within the scope of authority

    or significantly affecting the operations of his/her office.

    3. Obtains clearance by other OSHA components of proposed directives;promptly responds to requests by other offices for clearance of proposed

    directives initiated from them.

    4. Provides for supervision of the activities of the Directives Liaison Officer for

    her/his organization.

    5. Responsible for reviewing in-force directives at least every three years for

    currency and revising, or notifying the Directives Officer that no revisions

    are needed.

    Chapter 1, Paragraph XVII discusses the Exclusive Policy and Procedure Dissemination

    Medium:

    A. Policy and procedure relating to OSHA and OSHA programs may not be issued

    outside of the Code of Federal Regulations (CFR) or the OSHA Directives

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    System. Policy may not be issued by memorandum, letter, report or any other

    non-directives format regardless of media (such as paper or electronic).

    Interpretations of policy and procedure may be issued as provided in paragraph

    XI of this chapter, Supplementary Issuances , and detailed below.

    B. The establishment of the directives system as the exclusive medium forcommunication of OSHA policy and procedure does not preclude the issuance

    of interpretive guidance as formal Letters of Interpretation (LI) issued by and

    under the authority of an official heading an OSHA Directorate. Such LI are

    often in response to a request for clarification or direction from an OSHA field

    office, a State Plan program, or a regulated entity. Issuing officials must

    implement procedures governing the issuance of LI to assure that they are:

    1. Interpretations or explanations of policy or procedure that has been issued

    through the formal directives system or by Federal Register Notice and

    publication in the CFR, and not issued as other supplementary documents

    when a relevant regulation or directive exists to be referenced.

    2. Necessary to the effective implementation of the broader policy or procedure

    in the directive or regulation.

    3. Explicitly associated with the broader policy or procedure, at a minimum

    through reference to the CFR or directive number and effective date.

    4. Incorporated, by reference, into the OSHA Directives System, as an official

    LI. Selected LI will be made available on-line and accessible from the

    directives pages according to protocols and procedures of the OSHA

    Computerized Information System (OCIS).

    5. Consistent with all other LI governing directives.

    Chapter 3 outlines the requirements of the Coordination and Clearance of Directives:

    I. Purpose. This chapter prescribes responsibilities, guidelines and procedures

    for coordinating and clearing OSHA directives.

    II. Responsibilities:

    A. Assistant Secretary or Deputy Assistant Secretary. The Assistant Secretary

    or Deputy Assistant Secretary will:

    1. Sign national directives or delegate signatory authority to

    subordinate managers.

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    2. Approve (or delegate approval authority for) the issuance of

    Interim Directives superseding normal coordination and

    clearance procedures (see

    paragraph VI.)

    B. Director, Administrative Programs. Sign national directives dealing withadministrative subjects.

    C. Regional Administrators. Sign regional directives for their respective

    regions.

    D. Originator. The originator of a directive will:

    1. Prepare OSHA 83, OSHA Draft Clearance Request or regional

    equivalent.

    2. Distribute the Draft Directive to internal and/or external offices forreview and comment. (See paragraphs IV, B

    and C.)

    3. Collect, review, and integrate comments in a final draft directive.

    4. Submit the final directive for signature, all copies of OSHA 83 or

    regional equivalent, all comments received from internal and/or

    external offices, and any other background materials to the Directives

    Officer for national directives or the Directives Liaison Officer for

    regional directives.

    5. Submit to the Directives Office minor changes in the format or

    content of existing directives which do not alter the directives policy

    or procedure, or interpretation thereof for exemption from the

    clearance process.

    E. Clearance Officers. Clearance Officers will respond to requests for

    comments on draft directives within specified time periods.

    F. Directives Officer. The Directives Officer will ensure that national directives

    are properly coordinated and cleared. The Directives Officer also authorizes

    minor changes to be made outside of the clearance process in the format or

    content of existing directives. These changes may not alter the directives

    policy or procedure, or interpretations thereof.

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    G. Directives Liaison Officers. Each Directives Liaison Officer will

    ensure that directives are properly coordinated and cleared.

    III. Mandatory Clearance Offices for Instructions and Notices.

    A. All Directives must be cleared by:

    1. Labor-Management Relations Officer, Office of Personnel Programs,

    or regional equivalent.

    2. Directives Officer, Office of Management Systems and Organization.

    B. Directives originating in the National Office must be cleared by:

    1. Director, Information Technology (pending).

    2. Director, Policy.

    3. Director, Administrative Programs.

    C. Directives affecting field operations also must be cleared by:

    1. Director, Compliance.

    2. Director, Construction.

    3. Regional Administrators.

    D. Directives affecting State plans and/or consultation programs also

    must be cleared by the Director, Federal/State Operations.

    Federal/State Operations will approve appropriate language for all

    Federal Program changes.

    E. Directives affecting only administrative functions must be cleared by the

    Director, Administrative Programs.

    F. Directives affecting only the offices within a specific Region must be cleared

    by the Regional Administrator and the affected National Office

    organizations.

    IV. Clearance and Coordination Guidelines for Instructions and Notices.

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    A. General. Clearance is mandatory if the subject area relates to any of the

    offices listed in Figure 3-1, Mandatory Clearance Offices. Originator must

    also clear with certain offices based on the directive content and purpose, as

    outlined above or as needed. Originator should be selective in clearing draft

    directives outside the originating office. Include organizations that are:

    1. Responsible for programs, standards, or procedures affected by the

    draft directive.

    2. Administratively or legally responsible for reviewing the draft

    directive.

    3. Required to take or modify action as a result of the draft directive.

    B. Internal Clearance (within DOL).

    1. OSHA.

    National Directives. Clear national directives which affect the

    activities or functions of another OSHA national office or field office

    with that office.

    Regional Directives. Clear regional directives which affect the

    activities or functions of other organizations or individuals with those

    organizations and individuals.

    2. Office of the Solicitor. Clear the following regulatory materials with

    the Office of the Solicitor:

    - Any construction or interpretation of laws or regulations.

    - Any citation of laws or regulations as the authority for a legal

    position.

    - Any other statement expressing an opinion on a matter of law, legal

    rights, or liabilities.

    C. External Clearance.

    1. Office of Management and Budget (OMB). Clear national directives

    which implement OMB Circulars with the appropriate offices of the

    OMB.

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    2. Other Federal Agencies. Clear with other Federal agencies those

    directives which affect those agencies programs.

    3. State and Local Governments. Chief executives of State and local

    governments may comment on major proposed directives which

    directly affect any of the following:

    - Interstate and intergovernmental relationships (e.g., State-State,

    State-local, and interlocal).

    - Designations of agencies with State or local governments.

    - Organization, planning, personnel, or fiscal activities of State or

    local governments.

    - Roles and functions of heads of State or local governments.

    V. Coordination Procedures. Originators are permitted to make use of electronic

    media to facilitate both the informal and formal clearance processes provided

    proper records are kept.

    A. Informal Clearance.

    1. Preliminary Agreements. Originators should communicate frequently

    with agency stakeholders to agree on policies, procedures, and

    required actions wherever possible during the initial drafting process

    and before circulating drafts.

    2. Informal Coordination. Originators should circulate drafts, reports,

    and other materials relating to directive drafting informally before

    conducting the formal clearance process detailed in paragraph B

    below.

    3. Federal Program Change. Originators should consult with the

    Directorate of Federal/State Operations for Federal Program change

    language during the informal clearance to ensure that the

    appropriate language is circulated for review during the formal

    clearance process.

    B. Formal Clearance. Figure 3-2, National Directives Clearance Process,

    shows the steps involved in formally coordinating and clearing draft national

    directives using the OSHA 83. OMSO will make the OSHA 83 available in

    electronic format. Regional Offices will establish their own clearance

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    procedures for clearing regional directives consistent with mandatory

    clearance offices designated above and in Figure 3-1.

    1. Originator.

    - Completes items 1 through 6 on the OSHA 83.

    - Determines whether field coordination is necessary.

    - Allows a minimum of 10 working days if directive only requires

    clearance within the National Office. If field coordination is

    necessary, allows field offices a minimum of 15 working days for

    clearance.

    - Prepares enough copies of OSHA 83 and draft directive to circulate

    concurrently to all clearance officers. Two versions of the OSHA 83,

    one for the National Office and one for the field, may be prepared atthe discretion of the originator.

    - Marks the name of the clearance office to which the copy goes and

    sends the copy to the clearance office.

    2. Labor-Management Relations Officer.

    - Determines whether consultation with Local 12 of the NCFLL is

    required.

    - Indicates whether consultation is required in item 7 and completesitems 8, 9 and 10 on the OSHA 83.

    - If consultation with Local 12 or the NCFLL is required,

    coordinates with appropriate directorates.

    3. Clearance Officers in the National Office and the Field.

    - Review the draft directive.

    - Complete items 7, 8, 9 and 10 on the OSHA 83.

    - Return the OSHA 83 with comments to the originator.

    4. Originator.

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    - Reviews and reconciles any comments noted in item 7 of the OSHA

    83 by clearance officers in the National Office and in the field.

    Consults with clearance officers regarding comments and proposed

    policy and procedures including language.

    - Revises draft directive as necessary. Makes final determination ofmaterial to include in final version.

    - Prepares directive in final form, in consultation with the Directives

    Liaison Officer.

    - If external clearance is necessary (except union), initiates required

    clearances.

    - Sends directive package consisting of paper and diskette copies of

    final directive including abstract, table of contents, and index; and

    paper copies of transmittal memo to clearance official, OSHA 83's,comments, other materials received from clearing offices, and other

    background materials, to the Directives Liaison Officer. . . .

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    Exhibits

    1. August 1997 Letter Requesting OSHA Policy Guidance

    2. November 1999 Letter of Interpretation

    3. Withdrawn Letter of Interpretation

    4. OSHA Directive CPL 2-0.125 - Home-Based Worksites

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